Threshold Amplitude and Frequency for Ocular Tissue Release from a Vibrating Instrument: An Experimental Study

During retinal pigment epithelium (RPE) and choroid graft translocation in the treatment of patients with exudative age-related macular degeneration, the adhesion of the graft to the translocation instrument complicated its submacular release. Vibration of the instrument improved the release of the...

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Veröffentlicht in:Investigative ophthalmology & visual science 2008-04, Vol.49 (4), p.1629-1632
Hauptverfasser: Maaijwee, Kristel, Koolen, Twan, Rosenbrand, Dagmar, Jacobs, Elmer, Kleinheerenbrink, Sander, Knulst, Arjan, Bos, Joop, Holland, Wim P, Brouwer, Alex, van Meurs, Jan C, Schutte, Sander
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container_end_page 1632
container_issue 4
container_start_page 1629
container_title Investigative ophthalmology & visual science
container_volume 49
creator Maaijwee, Kristel
Koolen, Twan
Rosenbrand, Dagmar
Jacobs, Elmer
Kleinheerenbrink, Sander
Knulst, Arjan
Bos, Joop
Holland, Wim P
Brouwer, Alex
van Meurs, Jan C
Schutte, Sander
description During retinal pigment epithelium (RPE) and choroid graft translocation in the treatment of patients with exudative age-related macular degeneration, the adhesion of the graft to the translocation instrument complicated its submacular release. Vibration of the instrument improved the release of the graft. This study was conducted to validate the effectiveness of the principle of vibration and to determine the threshold amplitude and frequency required for development of an optimized instrument. An experimental in vitro model with fresh porcine RPE-choroid grafts was used. Release of the graft was studied by a masked observer for amplitudes in the range of 0.05 to 1.2 mm and frequencies in the range of 25 to 200 Hz in the horizontal plane. The minimum threshold amplitude required to release the graft was approximately 0.15 mm from a frequency of 100 Hz and higher. This study confirmed the clinical experience that vibration of an instrument induces the release of the RPE-choroid graft. The minimum threshold amplitude and frequency needed for optimum tissue release were estimated.
doi_str_mv 10.1167/iovs.07-1220
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Animals
Biological and medical sciences
Choroid - transplantation
Eye and associated structures. Visual pathways and centers. Vision
Fundamental and applied biological sciences. Psychology
Medical sciences
Models, Theoretical
Ophthalmologic Surgical Procedures - instrumentation
Ophthalmology
Pigment Epithelium of Eye - transplantation
Sensory Thresholds
Swine
Vertebrates: nervous system and sense organs
Vibration
title Threshold Amplitude and Frequency for Ocular Tissue Release from a Vibrating Instrument: An Experimental Study
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